| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $713.00 | $3,105.00 | $15,676.00 | |
BCBS
| Facility | $2,679.00 | $9,314.00 | $16,629.00 | |
Lucent Health
| Facility | $1,305.04 | $76,496.95 | $76,496.95 | |
United
| Facility | $5,052.00 | $10,848.00 | $27,103.00 |